Senior Quality Evaluator
Save this job and keep your search organized
Create a free account to save jobs, create alerts and return to this listing from your dashboard.
By continuing, you agree to our Terms & Privacy Policy.
Are you ready to POWER UP your skills? Take the leap and join Concentrix's League of TOP-NOTCH TALENTS Prepare for an Extra-Ordinary Journey where you not only Collaborate with Industry Champions but also immerse yourself in an Innovative Workplace filled with Laughter, Continuous Learning, and Limitless Opportunities. Join the Leading Global Provider of CX and Tech Services and seize this moment to #JoinConcentrix
Essential Duties and Responsibilities:
Quality Evaluation: Monitor(s), Evaluate(s) and Audit(s) a Sampling of Inbound or Outbound Call(s) and Other Contact Method(s) Including Chat(s) and Email(s), Participate in Calibration and Call Listening Session(s) with Quality Staff, Delivery, and Client(s) to Ensure Scoring Consistency and Best Practice(s) - Participate in Internal Quality Audit(s) Designed to Improve Overall Contact Quality and Recommend Change(s), Meet Audit Requirement(s) and Report Result(s) of Evaluation(s) to Stakeholder(s)
Compliance and Documentation: Adhere to all CMS (Center(s) for Medicare and Medicaid Service(s)) Guideline(s) and Company Policies, Maintain Confidentiality of Sensitive Member Information - Accurately Document all Interaction(s) and Resolution(s) in the System, Prepare Report(s) as Required to Support Compliance and Auditing Requirement(s)
Collaboration: Provide Insight(s) and Feedback on Recurring Issue(s) to Improve Process(es), Provide Structured Feedback to Appeals Nurse(s), Case Coordinator(s), as well as Appeals Representative(s) to Support Performance Improvement and Regulatory Compliance, Collaborate with Training and Operations to Identify Learning Gap(s) and Provide Input on Ongoing Upskilling Initiative(s), Support Audit Readiness for Client Review(s), Internal Audit(s), and Compliance Assessment(s)
Minimum Hiring Qualifications:
BS Nursing graduate with active license
1 Year(s) Minimum Experience in Utilization Management
1 Year(s) Experience in a Similar Role or Function in a Contact Center Setting (Quality Assurance or Quality Evaluator)
In-Depth Knowledge and Understanding of CMS Medicare Part C Appeals Regulatory Standard(s), Strong Understanding of Clinical Terminology, Medical Necessity Review Principle(s), and Healthcare Insurance Operations, Experience Supporting External Audit(s) (CMS Program Audit(s) and Client Audit(s)), and Mentoring or Coaching New Quality Staff
High Attention to Detail with Strong Documentation, Writing, and Scoring Calibration Skills, Proficiency in Quality Audit System(s) and Microsoft Office Suite, Strong Analytical, Critical Thinking, and Problem Solving Skills, Excellent Communication, Coaching, and Collaboration Abilities
Willing to Work On-Site with Flexible Work Schedule(s) Including US Hour(s) and Holiday(s)
Get Hired and Enjoy the Following:
Interact/Collaborate and Learn from Industry Experts
Multiple Opportunities for Learning and Development
Enjoy a Fun - and Competitive Working Environment
Work Location: Tera Tower, Bridgetowne, Quezon City (onsite)
-
Quezon City, Metro Manila, Philippines Concentrix Philippines Full-time ₱350,000 - ₱600,000 ContractAbout the role This role involves monitoring, evaluating, and auditing inbound and outbound calls and other contact methods including chats and emails. You will participate in calibration and call listening sessions with quality staff, delivery, and clients to ensure scoring consistency and best practices, and participate in internal quality audits designed...
-
Quezon City, Metro Manila, Philippines Concentrix Philippines Full-time ₱335,000 - ₱603,000 ContractConcentrix Philippines is seeking a Quality Evaluator with a BS Nursing degree and active license to support utilization management and QA activities. The role requires auditing calls, chats, and emails, ensuring CMS compliance, and documenting interactions for audits.Ideal candidates have 1 year of QA or utilization management experience in a contact...
-
Sr. Quality Evaluator
1 day ago
Makati City, Metro Manila, Philippines Concentrix Full-timeEssential Functions/Core Responsibilities • Monitors, evaluates and / or audits a sampling of inbound and/or outbound calls and other contact methods including chat and email• Reports results of evaluations to appropriate Business stakeholders (Quality Leadership, Operations, Client, Account Management, and Resource Unit partners)• Participates in...
-
Quality Evaluator
2 days ago
Quezon City, Metro Manila, Philippines Concentrix Full-time ₱201,000 - ₱312,000 ContractConcentrix in the Philippines is seeking a Quality Evaluator to monitor and evaluate the quality of inbound and outbound calls and other customer contact methods for accuracy and adherence to established quality standards. As an output of assessing quality standards, provide insight to customers to contribute to program performance improvements.The role...
-
Quality Evaluator for Calls, Email
2 days ago
Quezon City, Metro Manila, Philippines Concentrix Philippines Full-time ₱312,000 - ₱513,000 ContractConcentrix Philippines is seeking a Quality Evaluator to monitor and assess the quality of inbound and outbound calls and other customer contact methods, ensuring adherence to established standards. You will provide insights to drive program performance improvements.Responsibilities include conducting evaluations, participating in calibration sessions, and...
-
AI Design Quality Evaluator
2 days ago
quezon city, metro manila, Philippines HumanSignal Full-time ₱601,471 ContractA technology company specializing in AI is looking for a Graphic Design Expert to evaluate design elements on a remote, part-time basis. You'll contribute to training AI models by rating graphic design elements across quality dimensions. Candidates should have formal training in graphic design and at least two years of experience. A strong attention to...
-
Senior Agriculturist: Land Management
3 days ago
Quezon City, Metro Manila, Philippines Bureau of Soils and Water Management Full-time ₱835,169 ContractA government agency is seeking a Supervising Agriculturist in Quezon City. The role involves managing agricultural land evaluations and ensuring compliance with standards. Candidates must hold a Bachelor's degree in Agriculture or related fields, have 16 hours of training, and 3 years of experience. Monthly salary is Php 74,836.00. Potential applicants...
-
Senior Consultant
1 day ago
Makati City, Metro Manila, Philippines Tasq Staffing Solutions Full-timeDescriptionKey Responsibilities:Apply knowledge of Quality Engineering and testing areas (Automation, Performance, Data quality, AI, While box, Blackbox) to define and advise in test planningDrive high-quality delivery by performing both manual and automated testing, ensuring full coverage across functional, system, data, and AI components.Assist or Lead the...
-
quezon city, metro manila, Philippines Concentrix Full-time ₱620,000 ContractSchedule: Night Shift | Onsite | Start ASAP Employment Type: Full-Time Experience Required: At least 1 year of Quality Analyst experience supporting an international account Ready to take your QA career to the next level? We're looking for a Quality Analyst who knows that quality is more than checking boxes—it's about identifying opportunities,...
-
Quezon City, Metro Manila, Philippines CNX Full-timeJob Title: 2026 Training and Quality GVPAD – Sr Quality Evaluator/Trainers Job Description As of April 22, 2025, this job posting is for: Hybrid Trainer opening in Makati Ayala North Exchange. Onsite Sr Quality Evaluator for CebuSr Quality Evaluator The Quality Evaluator role is responsible for supporting the monitoring and evaluating the quality of...
